Review of machine perfusion studies in vascularized composite allotransplant preservation

Autor: Çağdaş Duru, Felor Biniazan, Nina Hadzimustafic, Andrew D'Elia, Valentina Shamoun, Siba Haykal
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Transplantation, Vol 2 (2023)
Druh dokumentu: article
ISSN: 2813-2440
DOI: 10.3389/frtra.2023.1323387
Popis: The applications of Vascularized composite allotransplantation (VCA) are increasing since the first successful hand transplantation in 1998. However, the abundance of muscle tissue makes VCA's vulnerable to ischemia-reperfusion injury (IRI), which has detrimental effects on the outcome of the procedure, restricting allowable donor-to-recipient time and limiting its widespread use. The current clinical method is Static cold storage (SCS) and this allows only 6 h before irreversible damage occurs upon reperfusion. In order to overcome this obstacle, the focus of research has been shifted towards the prospect of ex-vivo perfusion preservation which already has an established clinical role in solid organ transplants especially in the last decade. In this comprehensive qualitative review, we compile the literature on all VCA machine perfusion models and we aim to highlight the essentials of an ex vivo perfusion set-up, the different strategies, and their associated outcomes.
Databáze: Directory of Open Access Journals